Remote Utilization Management Nurse I, RN (CA)
$34.98 - $42.85 per hourSanta Barbara Cottage Hospital
Clever Care is hiring a UM Nurse I - RN to conduct clinical reviews of authorization requests in California. The role involves ensuring compliance with regulatory requirements, documenting medical necessity, and communicating decisions effectively. Candidates must hold an active RN license with a minimum of three years of clinical experience, preferably in utilization management. This remote position offers a wage range of $34.98 to $42.85 per hour based on California standards. #J-18808-Ljbffr
- Alignment Healthcare LLC is seeking a Lead Utilization Management Nurse, responsible for reviewing inpatient... ...a team of UM Nurses. This fully remote position demands strong communication skills and a valid California LVN or RN license. The role includes mentoring and...Remote job
$34.98 - $42.85 per hour
...Utilization Management Nurse I, RN Huntington Beach Office - Huntington Beach, CA 92647 Overview Salary Range $34.98 - $42.85 Hourly Position Type Full Time Description Remote in California only Are you ready to make a lasting impact and transform the...Remote workHourly payFull timeWork at office- The Peer-to-Peer (P2P) Utilization Review Nurse is an integral member of the MGB Central Utilization Management team, specializing in identifying... ...reconsideration (CONI) processes through RN-to-RN collaboration with... ...and Work Model ~ Remote / Work from Home. ~32...Remote workWork from home
$45 - $45.5 per hour
...Overview Job Title: Nurse Case Management Senior Analyst Location: REMOTE Duration: 5-6 Months (Contract possibly Extension... ...the physician treatment plan. Utilizes clinical skills to assess, plan, implement... ...from more junior team members. RN and current unrestricted nursing...Remote workContract workImmediate startMonday to FridayAfternoon shift$102.33k - $125.07k
...Registered Nurse / RN - Utilization Management I The Registered Nurse - Utilization Management I is responsible for supporting specific utilization management (UM) program functions within the Clinical Operations department. UM program functions include Benefit Management...Remote workWork at officeLocal areaWork from homeFlexible hours$74.16 - $107.75 per hour
...Utilization Review Nurse Work Location: Los Angeles, CA, USA Onsite or Remote Fully On-Site Work Schedule Monday-Friday 8am-4:30pm... ...is part of the Utilization Management Department at the Resnick Neuropsychiatric... .... ~ Current valid CA RN license, required ~ BLS...Remote workHourly payWork at officeMonday to Friday$35 - $37 per hour
...poster from The Judge Group. Job Title: Remote Registered Nurse (RN) - Temp to Perm Pay Rate: $36-37/hr... ...a compact/multistate license AND a CA single state AND a DC single state. Minimum... .... No NPs, whether practicing or not. Utilization Review experience is helpful but not...Remote workPermanent employmentFull timeTemporary workMonday to Friday- ...Utilization Management, Registered Nurse (RN) Remote - USA At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America’s seniors. We prioritize preventive care while leveraging data and technology through...Remote workWork at officeFlexible hours
- ...Are you an experienced Registered Nurse (RN) – Utilization Management / Case Management (Medicare) with a desire to excel? If so, then Talent Software... ...On-site training required (1–6 weeks depending on role) Remote/hybrid flexibility available post-training based on...Remote workContract workLocal area
$74.16 - $107.75 per hour
...Work Location: Los Angeles, CA, USA Onsite or Remote Fully On-Site Work... ...toggle section visibility The Utilization Management (UM) Nurse supports appropriate level-of-care... ...required. ~ Current valid CA RN license, required ~ BLS from the...Remote workHourly payWork at officeMonday to Friday$2,563 per week
...Registered Nurse (RN) | Case Manager Location: Fountain Valley, CA Agency: Atlas MedStaff Pay: $2,563 per week Shift Information: Days - 5 days... ...either since a lot of our team has been working remote since the pandemic), but you are part of the Atlas...Remote workHourly payFull timeContract workWork at officeShift workWeekend work$35.29 - $47.37 per hour
...and their work-life balance Remote work options and Flexible scheduling... ...improving quality of care, managing costs, and honoring... ...currently hiring a Part-time REMOTE Utilization Review Nurse . If you are a licensed... ...Work Location: OR, CA, AZ, TX, FL Salary: $35.29 -...Remote workHourly payPart timeCurrently hiringWork at officeLocal areaWork from homeMonday to FridayFlexible hours$72.8k - $130k
...reduce costs while improving risk management, quality and revenue growth.... ...occasional opportunity for remote work based on business needs. As a Sr Utilization Management Nurse in the Boston MA Regional... ...Must be a Registered Nurse (RN) with a current, active, unrestricted...Remote workMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential contract to hire... ...timelines. Support case management activities and identify cases requiring... ...working independently in a remote or office-based setting. Working...Remote workWeekly payContract workWork at officeMonday to Friday$116.3k - $264.6k
...Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid... ...UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide... ...of UM coordinators and nurses. You'll work closely... ...Current unrestricted RN licensure in CA required...Remote workMonday to FridayFlexible hours$30.64 - $45.8 per hour
...CA Utilization Review Nurse I Job Category: Case Management This is a remote position. Description The Utilization Review Nurse gathers demographic and clinical information... ...licensure in the state of operation required; RN is required unless local state regulations...Remote workHourly payFull timeWork at officeLocal areaFlexible hours$172.36k - $258.55k
...Physician Advisor, Utilization Management (CA License Required) page is loaded## Physician Advisor, Utilization... ...Management (CA License Required)remote type: Fully Remotelocations: Anywhere... ...in hospital-wide or skilled nursing facility position involving clinical care...Remote work$34 - $47 per hour
Astrana Health is seeking a CA-licensed Utilization Review Nurse for remote work. This role involves using clinical judgment to approve or deny outpatient medical services based on Medical Necessity Criteria. Candidates must have at least one year of outpatient UM experience...Remote jobHourly payShift work$34 - $47 per hour
Astrana Health Management is seeking a Utilization Review Nurse (LVN) to work remotely in California. You will utilize your clinical judgment to approve or deny outpatient medical services. Candidates must have a CA LVN license and at least one year of outpatient UM experience...Remote jobHourly payFull timeShift work$76.43k - $149.03k
...all of the following functions: care management, utilization management, behavioral health, care transitions... ...and experience. • Registered Nurse (RN), Licensed Vocational Nurse (LVN),... ...skills. Preferred Qualifications • CA Registered Nurse (RN). License must be...Remote workContract workWork experience placementWork at officeLocal area- ...Utilization Review Registered Nurse (UR RN) The Utilization Review Registered Nurse (UR RN) is a key contributor... ...patient outcomes and resource management. This role demands a solid clinical... ...for facility based staff; optional for remote staff. Nexus Health SystemsRemote workWork at office
$35 - $45 per hour
Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential contract to hire... ...required timelines. Support case management activities and identify cases requiring... ...working independently in a remote or office-based setting....Remote workWeekly payContract workWork at officeMonday to Friday- ...the largest chronic care management (CCM) service provider... ...We are looking for nurses who are passionate patient... ...full-time, full-benefits remote role. All necessary... ...Maintaining proper utilization. Achieving a scheduled... ...Qualifications: Current active CA license. Excellence...Remote workFull timeWork at officeMonday to FridayDay shift
$2,511 per week
...Registered Nurse (RN) | Telemetry Location: Berkeley, CA Agency: Prime Staffing Pay:... ...Modified 12:00:00 AM Account Manager: Quinton Reed Account... ...monitoring, Telemetry - remote monitoring, Thrombolytic... .... Prime Staffing utilizes a unique matchmaking approach...Remote workPermanent employmentFull timeContract workTemporary workLocal areaFlexible hoursShift workNight shiftWeekend work- ...Job Description Spectrum Healthcare Resources has a potential need for Registered Nurse Utilization Managers (RNUM) . These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be reviewing cases, educating patients on appropriate...Remote workFull timeContract workWork at officeWork from homeMonday to Friday
- Work Arrangement: Fully Remote Coverage: State-... ...Requirement: An active RN license in one of the following... ...District of Columbia), CA (California), AK (... ...organization is seeking a Nurse Care Manager to support patients... ...management strategies Utilize motivational interviewing...Remote jobFlexible hours
$172.36k - $258.55k
...A leading healthcare company is seeking a Physician Advisor for Utilization Management. The role requires a California license and significant experience in clinical care and utilization management. Responsibilities include processing reviews, liaising with medical staff...Remote work- A healthcare company is seeking a Utilization Management Registered Nurse to utilize nursing skills for coordinating medical services. Responsibilities... ...service eligibility and facilitating care. This remote role requires an RN license and clinical experience. Benefits include...Remote jobWork from home
- ...Mass General Brigham Health Plan is hiring for a role that utilizes clinical expertise for utilization management in a remote environment. Ideal candidates should hold an Associate's Degree in Nursing, possess strong decision-making and problem-solving skills, and have...Remote work
- A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition...Remote jobFull timeWork at officeWork from home
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